Individual
VINCENT MANGILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
163 LIBBEY INDUSTRIAL PKWY, SUITE 301, WEYMOUTH, MA 02189-3137
(781) 337-4224
(781) 335-0429
Mailing address
163 LIBBEY INDUSTRIAL PKWY, SUITE 301, WEYMOUTH, MA 02189-3137
(781) 337-4224
(781) 335-0429
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75633
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05005274
PALMETTO GBA
MA
01
—
075633
TUFTS HEALTH PLAN
MA
01
—
275182
HARVARD PILGRIM
MA
01
—
3101398
HEALTHY START
MA
05
—
3101398
—
MA
01
—
39094
FALLON
MA
01
—
F25287
TRICARE
MA
01
—
J12315
BLUE SHIELD
MA
Enumeration date
07/27/2006
Last updated
05/12/2008
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